Performance Feedback Improves Compliance With Quality Measures. Am J Med Qual 2016;31(2):118-24
Date
10/29/2014Pubmed ID
25348546DOI
10.1177/1062860614556089Scopus ID
2-s2.0-84960077446 (requires institutional sign-in at Scopus site) 7 CitationsAbstract
Cirrhotic complications portend high morbidity and mortality and burden the health care system. Established quality measures in management of cirrhotics include screening for esophageal varices (EV), screening for hepatocellular carcinoma (HCC), and hepatitis A and B immunization. A retrospective review was conducted to identify adherence to cirrhosis. Baseline rates were shared with providers. Compliance with quality measures was measured prospectively at 1-month, 2-month, 1-year, and 3-year follow-up after provision of performance feedback. Baseline HCC rate was 60%, EV was 68%, and hepatitis A and B immunization was 51% and 47%, respectively. After performance feedback, HCC, EV, and hepatitis A and B vaccination rates improved to rates ranging from 92% to 100% and remained statistically significant after 3 years. Provider feedback, a simple intervention, achieved significant improvement in compliance with quality measures for management of cirrhotics. This improvement in adherence to quality measures was sustainable over a 3-year time period.
Author List
Loy V, Kwiatt J, Dodda A, Martin E, Dua A, Saeian KAuthors
Veronica Loy DO Associate Professor in the Medicine department at Medical College of WisconsinKia Saeian MD Professor in the Medicine department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Carcinoma, HepatocellularEsophageal and Gastric Varices
Female
Formative Feedback
Guideline Adherence
Hepatitis A Vaccines
Hepatitis B Vaccines
Humans
Liver Cirrhosis
Liver Neoplasms
Male
Middle Aged
Practice Guidelines as Topic
Prospective Studies
Quality Improvement
Quality Indicators, Health Care
Retrospective Studies
